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Biomedical subjects

I Nagai

Publications and source records attributed to I Nagai.

At least 37 records · Page 2Linked to original sources
PubMed1991

[A case of neurofibromatosis 2 combined with a vagal neurilemmoma in the mediastinum].

A 39-year-old man was referred to our hospital for further evaluation of an abnormal mediastinal shadow on chest X-ray film. CT scan of the chest showed a cyst-like tumor in the mediastinum. CT scan of the brain to investigate the impairment of hearing revealed bilateral cerebropontine angle tumors. Histological examination of both tumors revealed neurilemmoma. Neurofibromatosis 2 combined with a vagal neurilemmoma in the mediastinum is very rare.

Adult↗
PubMed1991

[A case of squamous cell carcinoma of the thymus and thymic cyst].

A 57-year-old man was referred to our hospital for further evaluation of an abnormal mediastinal shadow detected on chest X-ray film. Chest CT showed a solid mass and a cyst. Operation revealed a squamous cell carcinoma of the thymus adjacent to a thymic cyst. Histologic examination demonstrated the clear separation of the squamous cell carcinoma and the thymic cyst by interstitial tissue. Cases of squamous cell carcinoma of the thymus combined with thymic cyst are very rare.

Carcinoma, Squamous Cell↗
PubMed1991

[A case of intrathyroidal thymoma presenting as a thyroid mass].

Intrathyroidal thymoma is a rare tumor that occurs in the thyroid gland. The present report describes a 62-year-old female patient with this tumor, who was treated with subtotal thyroidectomy with a wedge resection of the trachea followed by radiotherapy. She is now free from disease for 4 years after the operation. This tumor shows expansive growth, frequent invasion to the surrounding tissue, but relatively infrequent lymph node involvement. If this tumor is resected surgically, the prognosis is favorable.

Choristoma↗
PubMed1990

A case of middle lobe syndrome occurring in two sisters.

We report herein a rare case of middle lobe syndrome, occurring in two sisters. Since selective aspirations of sputum under bronchoscopic guidance proved ineffective, a middle lobectomy was performed in both cases. Histological findings of the resected specimens showed overgrowth of the bronchial glands, lymphocytic infiltration around the alveoli and glandular metaplasia of the alveoli in both cases. Based on the allergic diathesis, we suggest that in these 2 sisters, middle lobe syndrome was caused by chronic inflammation.

Child↗
PubMed1990

Absence of role for plasmids in resistance to multiple disinfectants in three strains of bacteria.

Three chlorhexidine-resistant strains, two of Achromobacter xylosoxidans, one of Pseudomonas cepacia, were isolated from clinical sources. The three strains showed cross-resistance to benzethonium chloride, benzalkonium chloride and alkyldiaminoethylglycine. Resistance persisted after treatment of the strains with acridine orange (12.5 mg-25 mg l-1). Conjugation to appropriate recipients of Escherichia coli was unsuccessful and plasmid DNA could not be detected. These results suggest that plasmids do not play a role in resistance to multiple disinfectants in the strains of bacteria studied.

Alcaligenes↗
PubMed1990

[A case of pulmonary metastasis from adenoid cystic carcinoma of the trachea].

A 33-year-old woman with adenoid cystic carcinoma of the trachea was treated by resection of the upper and mid-trachea, plus total laryngectomy, subtotal thyroidectomy, partial resection of the cervical esophageal muscle layer and mediastinal tracheostomy. This tumor invaded directly into the thyroid gland, the larynx, the recurrent laryngeal nerve and the cervical esophagus. Three years after the operation, metastases developed in the right lung (S10, S2) and partial resection of the lung was performed. This patient is now free from disease. Aggressive surgical resection is important for the improvement of survival in this condition, although this tumor shows low grade malignancy and is slowly growing.

Adult↗
PubMed1990

[Surgical treatment of upper mediastinum involvement following thyroid cancer surgery].

Four cases with mediastinal nodal involvements after surgery for thyroid cancer were treated by tumor extirpation and mediastinal lymph nodes dissection. The removal were performed via the median sternotomy in three cases and partial resection of the clavicle in one case. The transsternal approach made it possible to remove the tumor with mediastinal lymph nodes safely and easily. It is generally sufficient to carry out dissection as far as the brachiocephalic vein. However, mediastinal nodal involvements extending below the brachiocephalic vein were seen in one of 4 cases. All patients are alive, including 2 cases with lung metastases. Initial aggressive surgical treatment of mediastinal recurrence is important for preventing the obstruction of the trachea or large vessels.

Adult↗
PubMed1989

[Clinical analysis of 26 cases of multiple primary cancer].

Of 412 head and neck cancers in the Department of oral Surgery, Sapporo Medical College from 1976 to 1987, 26 cases (6.3%) were multiple primary cancers. One of these cases was triple cancer. The ages of these 26 cases ranged from 42 to 81 (average 61 year-old) with 20 males and 6 females (3.3:1). As to the interval between the first and second cancer, five cases (20%) were synchronous and twenty cases (80%) were metachronous in our series. Of the five synchronous, three were found by careful examination at the time of admission to our department. The stomach and head and neck cancers were frequently observed as the first cancer of metachronous cases. Second primary cancers occurred in the head and neck region were 64% and those in other regions were 36%. On the other hand, digestive cancer was predominant in the additional cancer to the index cancer (66.7%). These numbers emphasize that patients with head and neck cancers are in a cancer-prone group that develops digestive cancers. These findings have important implications in follow up policy.

Adenocarcinoma↗
PubMed1989

[Immunohistochemical localization of laminin and its relation to the grade of histological malignancy in oral cancer].

The immunohistochemical localization of Laminin has been investigated with a monoclonal antibody in biopsy specimens from 27 patients with an invasive squamous cell carcinoma of the oral cavity. In normal mucosa, laminin was found distributed in a linear pattern in the epithelial-stromal junction, around the blood vessels, the nerve fibres, and the skeletal muscle bundles. In the cancerous tissues a variety in the linear staining around the cancer cell nests was seen. Extreme attenuation or complete loss of the linear staining of laminin was demonstrated in 8/27 specimens, and these tumors histologically showed a high grade of malignancy with H.E. staining.

Basement Membrane↗
PubMed1987

An improved technique for the closure of ventricular septal defect in ventricular inversion.

An improved technique for the closure of ventricular septal defect associated with ventricular inversion through the anatomically left ventricle is described. The technique consists of placing a patch completely on the anatomically right ventricular side with modified horizontal mattress sutures all around the defect. This technique was applied successfully in 2 patients with no ensuing conduction disturbance. The details of the technique are reported.

Adolescent↗
PubMed1986

Studies on the bacterial permeability of non-woven fabrics and cotton fabrics.

The permeability of cotton and non-woven fabrics to bacteria, air and water was studied. Non-woven fabrics, even when wet, showed low resistance to air, and high resistance to permeation of water and bacteria. Water-repellent cotton fabrics were resistant to permeation of water, air and bacteria, but these properties decreased on washing. Non-water-repellent cotton fabrics were poor bacterial barriers even when new.

Bacteria↗
PubMed1986

Nicardipine increases cerebral blood flow but does not improve neurologic recovery in a canine model of complete cerebral ischemia.

The effects of the calcium entry blocker nicardipine on CBF, CMRO2, and neurologic outcome following 10 min of complete cerebral ischemia were examined in dogs. In CBF and CMRO2 studies, the CBF in the untreated group (seven dogs) and the nicardipine group (seven dogs; 20 micrograms kg-1 at 30 min postischemia and a subsequent infusion of 2 micrograms kg-1 min-1 for 90 min) initially increased to 300-400% and then returned to preischemic values at 30 min postischemia. Thereafter the CBF in the untreated group significantly decreased to 50% of preischemic values for the following 90-min period (hypoperfusion), while the CBF in the nicardipine group did not differ from preischemic values. The CMRO2 in both groups decreased to approximately 50-80% of preischemic values after 15 min postischemia and did not differ between the groups throughout the study. In neurologic outcome studies, 18 dogs were divided into three groups (of six dogs each): untreated; saline infusion only, posttreated; nicardipine as in CBF and CMRO2 studies, pretreated; nicardipine 20 micrograms kg-1 at 2 min preischemia and a subsequent infusion of 2 micrograms kg-1 min-1 from immediately postischemia to 120 min postischemia. Nicardipine treatment initiated either before or after ischemia failed to improve neurologic outcome at 48 h postischemia. Thus, the increase of postischemic global CBF by nicardipine is not accompanied by neurologic recovery in a canine model of complete cerebral ischemia.

Animals↗
PubMed1984

Studies on the mode of bacterial contamination of an operating theatre corridor floor.

Bacterial contamination of the floor of a corridor leading into an operating theatre suite was studied in relation to the site chosen for changing footwear. Recovery of bacteria showed a peak at the site of exchange of footwear, and decreased with increasing distance from the site. When the site of exchange was moved further away from the clean area, the peak of contamination moved to the new site and bacterial contamination decreased in the clean area. These results indicate that exchange of footwear should occur as far from the operating theatre as possible.

Bacteria↗
PubMed1984

The response of plasma arginine vasopressin to 14 h water deprivation in the elderly.

The response of plasma arginine vasopressin (AVP) to 14 h water deprivation was investigated in 30 healthy elderly individuals ranging in age from 63 to 87 years, with a mean age of 76.5 years. The mean AVP concentrations, both at normal hydration and after the water deprivation test, were significantly lower than those in the young. Moreover, the post-test mean value of Uosm/Posm in the elderly increased up to 1.55 +/- 0.52, which is lower than that in the young in whom the value was greater than 2. These results suggest that the aged are prone to incomplete diabetes insipidus. This pathological state might predispose to electrolyte imbalance in the elderly.

Age Factors↗